CT-lung volume estimates in trauma patients undergoing stabilizing surgery for flail chest

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Flail chest from blunt thoracic trauma.

1 of 2 DESCRIPTION A 56-year-old male smoker sustained non-penetrating leftsided chest trauma, following a 2-m fall onto a fl at-topped wooden post. He was in severe pain and respiratory distress in the Emergency Department, with a dramatic degree of fl ail and marked subcutaneous emphysema (see video 1 ). A left side tube thoracostomy was inserted urgently with marked improvement in respirator...

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Prognostic factors in flail-chest patients.

OBJECTIVE The records of 250 patients presenting with flail-chest injury in a level I trauma centre were reviewed and analysed in order to determine prognostic factors. METHODS There were 250 consecutive trauma patients with flail chest, 183 men (73.2%) and 67 women (26.8%) ranging in age from 18 to 91 years, admitted to our hospital. The leading cause of injury was road traffic accident. One...

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Blunt thoracic trauma: flail chest, pulmonary contusion, and blast injury.

Blunt thoracic trauma can result in significant morbidity in injured patients. Both chest wall and the intrathoracic visceral injuries can lead to life-threatening complications if not anticipated and treated. Pain control, aggressive pulmonary toilet, and mechanical ventilation when necessary are the mainstays of supportive treatment. The elderly with blunt chest trauma are especially at risk ...

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Fasting duration in patients undergoing elective surgery

Background and Purpose: Preoperative fast is the essential part of preoperative care for those patients who are candidates for elective surgery. Fast prolongation results in side effects such as: sweating, irritability, decrease in blood sugar and restlessness. Despite the noticeable changes in fasting guidelines and their application in many countries, it seems that in Iran, these rules are no...

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Management of pulmonary contusion and flail chest: an Eastern Association for the Surgery of Trauma practice management guideline.

BACKGROUND Despite the prevalence and recognized association of pulmonary contusion and flail chest (PC-FC) as a combined, complex injury pattern with interrelated pathophysiology, the mortality and morbidity of this entity have not improved during the last three decades. The purpose of this updated EAST practice management guideline was to present evidence-based recommendations for the treatme...

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ژورنال

عنوان ژورنال: Injury

سال: 2019

ISSN: 0020-1383

DOI: 10.1016/j.injury.2018.10.016